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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Elevated Liver Enzymes With Fatigue And Mood Swings Symptoms Of Hemochromotosis?

My husband recently found out that his brother and mother have both tested positive as heterozygous carriers for hemochromotosis. We had his serum ferritin levels checked and he is at 453 ng/mL. He has had elevated liver enzymes for the last five years and has also been diagnosed with hypothyroidism and hypogonadism. He suffers from constant fatigue, memory fog and moodiness. I feel it may be due to possibly having hemochromotosis as well but our doctor does not feel it is worth looking into. His TSH level and testosterone level is now normal but he is continually getting worse. From everything I have read his ferritin levels seem high enough to start routine phlebotomies since it is over the range of 300ng/mL but I don t know where to turn from here. Am I right to be worried about his levels or is our gp correct in not worrying?
Tue, 8 Mar 2016
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General & Family Physician 's  Response
Hi thanks for asking question.

Your husband having elevated liver enzymes.

Does USG done??It might suggest possibility of hepatitis or cirrhosis like findings.

Here he also has positive family history.

Ferritin also high.So according to my opinion if USG is suggesting liver pathology then consult gastric surgeon for USG guided liver biopsy and send it for his to pathological examination.

Meanwhile
-avoid trans fat
-green leafy veg taken
-take less oily diet
-omega 3 containing oil like olive or sunflower oil can be used
-fruits more
-more water
-regular exercise

I hope I have solve your concern
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Is Elevated Liver Enzymes With Fatigue And Mood Swings Symptoms Of Hemochromotosis?

Hi thanks for asking question. Your husband having elevated liver enzymes. Does USG done??It might suggest possibility of hepatitis or cirrhosis like findings. Here he also has positive family history. Ferritin also high.So according to my opinion if USG is suggesting liver pathology then consult gastric surgeon for USG guided liver biopsy and send it for his to pathological examination. Meanwhile -avoid trans fat -green leafy veg taken -take less oily diet -omega 3 containing oil like olive or sunflower oil can be used -fruits more -more water -regular exercise I hope I have solve your concern